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JACQUELINE MILLS
NPI 1386900207
Counselor - Mental Health in Philadelphia, PA

Active since April 04, 2012Opted out of Medicare · through Apr 1, 2028
2514 N BROAD ST, PHILADELPHIA, PA 19132(215) 599-8914 Get Directions Write a Review

NPPES record last updated: April 4, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jacqueline Mills NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE MILLS (NPI 1386900207) is an individual mental health provider in Philadelphia, Pennsylvania and active in the NPI registry since April 2012. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1386900207
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUELINE MILLS
Location Address2514 N BROAD STPhiladelphia, PA 19132-4013
Mailing Address2514 N Broad StPhiladelphia, PA 19132-4013 · (215) 599-8914
Phone(215) 599-8914
Sole ProprietorYes
Enumeration DateApril 4, 2012
✔ NPI 1386900207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2514 N BROAD ST, Philadelphia, PA 19132
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jacqueline Mills has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. NICOLE IVORY GOICURIA MA
Counselor (Mental Health)
2514 N BROAD ST
PHILADELPHIA, PA 19132
Philadelphia County (215) 599-2808
GIA WARNER
Counselor (Mental Health)
2514 N BROAD ST
PHILADELPHIA, PA 19132
Philadelphia County (215) 599-8913
JANELLE SUE JUNKIN MA, MT-BC
Counselor (Mental Health)
2514 N BROAD ST
PHILADELPHIA, PA 19132
Philadelphia County (215) 599-2824
MRS. CYNTHIA R JOHNSON-LEWIS M.S
Counselor (Mental Health)
2514 N BROAD ST
PHILADELPHIA, PA 19132
Philadelphia County (215) 226-7100
JORDAN MORGAN
Counselor (Mental Health)
2514 N BROAD ST
PHILADELPHIA, PA 19132
Philadelphia County (215) 599-8916
LYDIA ADETOLU
Counselor (Professional)
2514 N BROAD ST
PHILADELPHIA, PA 19132
Philadelphia County (267) 940-5004
BETTI SPICER MSW
Counselor (Mental Health)
2514 N BROAD ST
PHILADELPHIA, PA 19132
Philadelphia County (215) 599-8917
WILMA SLEWEON MSW
Counselor (Mental Health)
2514 N BROAD ST
PHILADELPHIA, PA 19132
Philadelphia County (215) 599-2844

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Mills's NPI number?

The NPI number for Jacqueline Mills is 1386900207. It was assigned to this individual provider in the NPPES registry on April 4, 2012.

Where is Jacqueline Mills located?

Jacqueline Mills practices at 2514 N Broad St, Philadelphia, PA 19132. The listed phone number is (215) 599-8914.

What is Jacqueline Mills's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jacqueline Mills enrolled in Medicare?

No. Jacqueline Mills has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jacqueline Mills was last updated on April 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.